SCMS BULLETIN - April 2018 by SCMS Bulletin

The

Bulletin Saginaw County Medical Society

April 2018 | Volume 76 | No 6

2018-19 Slate of Nominees p. 5

April Membership Meeting & Second Victim p. 12-14

14th Annual Health Fair p. 16-19

www.SaginawCountyMS.com

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The

Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2017-2018 OFFICERS AND DIRECTORS President Julia M. Walter, MD President-Elect Zubeda S. Khan, MD Past President Virginia R. Dedicatoria, MD Secretary Sanjay J. Talati, MD

contents 5

12-14

16-19

Slate of Nominees for 2018-19

8-9

Treasurer Christopher J. Allen, MD (Interim)

April Membership Meeting & Second Victim Resources

14th Annual Health Fair

9th Annual Golf Outing Sponsorship & Registration Forms

Board of Directors B.L. Nahata, MD Mildred J. Willy, MD Gopi K. Nallani, MD Anthony M. Zacharek, MD Maliha N. Shaikh, MD Jorge M. Plasencia, MD Bulletin Editor Louis L. Constan, MD Retiree Representative Larry S. Kelly, MD Resident Representative Abhishek A. Bhandiwad, MD MSMS Delegates

4 5

Save the Date – 2018 Membership Meetings

From the Editor

Caduceus Meeting for Recovering Health Care Professionals

Elvira M. Dawis, MD

Suicide Prevention Group Changes Name

B.L. Nahata, MD

Applications for Membership

Zubeda S. Khan, MD Sanjay J. Talati, MD Julia M. Walter, MD Virginia R. Dedicatoria, MD Mohammad Yahya Khan, MD Mildred J. Willy, MD

CMS Releases 2018 MIPS Eligibility Tool

Anthony M. Zacharek, MD Steven J. Vance, MD J. Patricia Dhar, MD Danielle C. Duncan, MD Jorge M. Plasencia, MD Christopher J. Allen, MD Jacquelyn M. Charbel, DO Peer Review Ethics Committee Waheed Akbar, MD Caroline G.M. Scott, MD James R. Hines, MD MSMS District 8 Director Thomas J. Veverka, MD EXECUTIVE DIRECTOR Joan M. Cramer ADMINISTRATIVE ASSISTANT Keri Benkert

24 MSMS 26

St. Mary’s of Michigan | Ascension

Covenant HealthCare

June Birthdays

Attention Retired Members!

Advertiser Index

Key Providers

Calendar of Events

The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.

Caroline G.M. Scott, MD Gopi K. Nallani, MD

May Birthdays

CMU College of Medicine | CMU Health

MSMS Alternate Delegates Waheed Akbar, MD

President’s Letter

ON THE COVER: Dr. Ron Hazen shares his experience as a Second Victim EDITOR Louis L. Constan, MD

PUBLISHER Saginaw County Medical Society

EXECUTIVE DIRECTOR Joan M. Cramer

350 St. Andrews Rd., Suite 242, Saginaw, Michigan 48638-5988. Hours: Tuesday, Wednesday, Thursday 8:30 AM - 3:30 PM. Web: SaginawCountyMS.com

DESIGNER Lori Krygier

Telephone: (989) 790-3590. Fax: (989) 790-3640 E-Mail: jmcramer@sbcglobal.net

All statements or comments in the Bulletin are those of the writers, and not necessarily the opinion of the Saginaw County Medical Society. Contributions are welcome. We publish committee reports, letters to the editor, Alliance reports, public health activities of the members, and some personal items (birthdays, weddings, graduations and like events). The Editor determines which are accepted. Advertisements are accepted as space is available at our going rates. Members may advertise office information, professional services, skills, and procedures, also at our going rates. We do not accept advertisements from nonmembers, or non-Saginaw hospitals. The Bulletin is mailed free of charge to SCMS members as part of their membership. Complimentary copies are sent to various other parties. Others may subscribe at the rate of $50 per year.

The Bulletin | April 2018 3

PRESIDENT’S LETTER

How Do You Know What You Don’t Know? By Julia M. Walter, MD

n talking with a resident recently about applying for jobs after they finish their program, the question came up wondering how to navigate the process of what questions to ask. How does one know what is a good practice? How to navigate a contract? Is a lawyer needed? How do you know what you don’t know? In talking with a patient last week concerning their evaluation, she was given literature to read concerning her symptoms so that she would have a better understanding for when she followed up to review her results. At her follow up, she had no questions and stated that she didn’t know what

she should know and would go along with my recommendations. She did not know what she didn’t know. In talking with a medical student before they were going to evaluate a patient who had come to the obstetrical ER, armed with a list of questions, the student did their evaluation and presented their patient’s case. When asked their opinion of the diagnosis, a long pause followed and the student was asked “Does the patient look sick?” How could they know what they don’t know? I was in a discussion with a group of peers regarding a new situation that involved a potential change in

contract. Financial, insurance and personnel issues were all involved. What would be the implications of our current and future decisions? We are in a profession where we are supposed to know the answers. Holistically we bring to bear our knowledge, skill, and attitude composing our total offerings. We are, however, just people, patients, students and peers. The longer we educate, experience, practice and relate the more we offer. So, in solving the first question, we can always start with what we do know and work back to what we don’t know.

“So, in solving the first question, we can always start with what we do know and work back to what we don’t know.”

Julia M. Walter, MD

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SLATE OF NOMINEES FOR 2018-19

The following is the Slate of Nominees for 2018-19. The Slate will be voted on by the membership at the Annual Meeting on Tuesday, May 15, 2018.

Tuesday, May 15, 2018 Annual Membership Meeting

President

Julia M. Walter, MD

President-Elect

Zubeda S. Khan, MD

Past President

Virginia R. Dedicatoria, MD

Secretary

Caroline G.M. Scott, MD

SPEAKER: George E. Kikano MD, Dean of the CMU College of Medicine

Treasurer

Mohammad Yahya Khan, MD

PROGRAM: “Update on the CMU College of Medicine”

Board of Directors Board of Directors

* Mildred S. Willy, MD (president in 2020-21) * Anthony M. Zacharek, MD (president in 2021-22) * Jorge M. Plasencia, MD (president in 2022-23) ** Kala K. Ramasamy, MD ** Tiffany K. Kim, MD ** Mark G. Greenwell, MD

*Three-year Directors in line for the presidency **One-year Directors MSMS Delegates Elvira M. Dawis, MD Zubeda S. Khan, MD Julia M. Walter, MD Virginia R. Dedicatoria, MD Mildred J. Willy, MD Anthony M. Zacharek, MD Jorge M. Plasencia, MD Christopher Allen, MD MSMS Alternate Delegates Caroline G.M. Scott, MD Waheed Akbar, MD Mohammad Yahya Khan, MD Danielle C. Duncan, MD Steven J. Vance, MD J. Patricia Dhar, MD Amandeep S. Dhaliwal, MD Miriam T. Schteingart, MD Peer Review Ethics Committee (three-year term) Waheed Akbar, MD, Chair (May 2020) Caroline G.M. Scott, MD (May 2019) James R. Hines, MD (May 2018) – up for re-election

Date: Tuesday, May 15, 2018 Time: 6:30 p.m. Social (cash bar), 7 p.m. dinner, annual meeting and program Place: Horizons Conference Center, 6200 State Street, Saginaw Cost: No cost for SCMS Members, Residents, Medical Students and CMU Faculty Non-member physicians $100 each All others $40 each Those who make a reservation and do not attend will be charged a $25 cancellation fee. Click to make an online reservation.

There are no Membership Meetings in June, July or August Tuesday, September 18, 2018 Membership Meeting - ETHICS Mark your calendar now for our Tuesday, September 18, 2018, Membership Meeting joint with the Saginaw County Osteopathic Society at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Jason Wasserman, PhD, Associate Professor of Biomedical Sciences at Oakland University William Beaumont School of Medicine will present a program on Ethics. Dr. Wasserman joined the Oakland University William Beaumont School of Medicine faculty in July 2013. He directs the Medical Humanities and Clinical Bioethics courses for M1 students, as well as, serving on the Admissions, Curriculum and Student Research committees among others.

Tuesday, October 16, 2018 Membership Meeting Mark your calendar now for our Tuesday, October 16, 2018, Membership Meeting hosted at and by HealthSource Saginaw. The social starts at 6:30 p.m., followed by dinner, meeting and a Candidates’ Forum for the November election at 7 p.m. The Bulletin | April 2018 5

FROM THE EDITOR

Cognitive Dissonance By Louis L. Constan, MD

wise man once said that we are all actually three persons: The first is the person we tell other people that we are; the second is the person that we believe that we are; and the third is the person that we actually are. Understanding this is important for a couple of very important reasons. First is that the closer the distance between who we purport to be - our outwardfacing self - and who we deeply know ourselves to be when we are at our most honest with ourselves - our inwardfacing self - the healthier we are. The second is that distance between these personas can lead to serious professional problems; more about these later. Some background and definitions: That third person, or the person that we actually are, is the one we are when no one is looking, not even ourselves. It’s who we are naturally, almost instinctively. It comes out commonly during times of crisis when we don’t have time to think, when we just react on a gut level, because it is literally who we are. Think of the doctors who stayed behind with their patients in the hospital during Hurricane Katrina - no lights, sweltering heat, water up to their knees; suffering for the sake of their patients. That second person is the person that we believe we are. What we want on our tombstone, what we want said

when we get that Doctor-of-the-Year award, what we want our spouse and our children to think of us. It’s what we said on that college application when we explained, “Why I want to be a doctor.” That first person is the person we tell others we are. It’s always a bit idealized. We’re always smiling, our staff is always happy, we always put the patients first, we never have a bad day, we never make a mistake and we’re never grumpy. As I said, it’s idealized. Also, impossible to live up to. Life is just too hard. You can see right away that there are going to be some discrepancies between these different personas. But you can understand that when you say one thing and do another, such behavior can lead to problems. Your family were doubtless experts at pointing out such discrepancies to you, and the old “do-as-I-say-not-as-I-do” line never worked, did it? The same problems occur with patients, staff and hospital administrators. Once people sense that you can “talk the talk” but not “walk the walk” you lose credibility and they do not believe that you are reliable to work with. So, you see how it is important to avoid any daylight between the person you say you are and the person you actually are? Now, let’s just suppose that one day you’re feeling angry and keen to bend some rules. You know that it’s not

right. Maybe it’s not congruent with the person who you really are, or with the person you want others to see, but, darn it, why not? So you put your hands where you know they should not be, and you tell an off-color joke in front of a nurse and see her blush - and nothing bad happens, and you get a sort-of-a rush and it feels good, so why not, and you get into the habit of doing it again and again. First question, is this behavior such a bad thing? Well, it seems common. It happens, and the nurses don’t complain, so…how bad could it be? Of late, we have recognized that this behavior is an abuse of power, nothing less; a powerful person forcing his will on a much less powerful person, usually a person who is concerned about losing her job. Remember here the dangers you face when your three personas diverge. It is psychologically unhealthy for you. Also, think about your family. Now think specifically what would happen, what has happened, to the families of public figures whose behavior is exposed as described above. Marriages fail. Children become estranged from their fathers. Doctor friend, this continued on page 7

The same problems occur with patients, staff and hospital administrators. Once people sense that you can “talk the talk” but not “walk the walk” you lose credibility and they do not believe that Louis L. Constan, MD

The Bulletin | April 2018

you are reliable to work with.

continued from page 6

could happen to you. Nurses and all women are becoming empowered and will no longer tolerate abuse by powerful men, even in little ways. They will, sooner or later come forward. When they do, I hope that we can all say our public personas are as close to the personas of our most idealistic private selves as it is possible to be. FINALLY, JUST TO BE ABSOLUTELY CLEAR: PHYSICIANS WHO ENGAGE IN INAPPROPRIATE BEHAVIOR MUST STOP. PHYSICIANS WHO SEE OTHER PHYSICIANS ENGAGE IN INAPPROPRIATE BEHAVIOR MUST SPEAK UP - TO THAT PHYSICIAN AND TO THE HEAD OF THAT PHYSICIAN’S DEPARTMENT . Nurse should be interpreted as any female ancillary medical person working in the physician’s area 2 I’m not implying here that doctors are sexual predators like the men in the news, but perhaps they have been in the habit of touching and talking inappropriately. 3 My opinion, of course. 1

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9th Annual Golf Outing – Sponsorship Form Saturday, June 9, 2018  Saginaw Country Club 12 p.m. Registration  1 p.m. Shotgun Start The Saginaw County Medical Society (SCMS) Foundation was founded in 1968 by SCMS members, and is the charitable entity of the SCMS. The Foundation:  Provides low interest loans to medical students with ties to Saginaw;  Forgives loan interest if the recipient returns to Saginaw to practice after completion of their residency;  Forgives 25 percent or a maximum of $5,000 loan principal per year if the recipient returns to Saginaw to practice after completion of their residency and is a dues paying member;  Awards scholarships and mentors Saginaw County high school students who are interested in becoming a physician;  Provides research grants and scholarships to medical students and residents through CMU CoM; and  Assists the SCMS Alliance in awarding seven nursing scholarships each year. Proceeds from this event are used for the above initiatives to help ensure the future of medicine in Saginaw County.  Title Sponsor - $6,000 (LIMIT OF TWO)  Company name in title of Golf Outing (including banner, program, all signage, etc.)  Company choice of (1) sleeve of golf balls with your company logo provided to each golfer; (2) golf towel with your logo provided to each golfer; or (3) ditty bag with your logo provided to each golfer  A representative from your company will be allowed to address the golfers from the podium at the Award Reception  Includes 4-person team  Event Sponsor - $3,000 (LIMIT OF FIVE )  Company name in golf carts and program  Company name on sign at driving range and practice putting green  Recognized from the podium  Includes 4-person team  Golf Ball Sponsor - $1,500 (Sleeve of golf balls with your company logo provided to each golfer)  Company name listed in program  Scorecard/Scoreboard Sponsor - $1,500  Company name on scoreboard and individual scorecards  Company name listed in program

 Award Reception Sponsor - $1,000  Company name listed on sign at reception, table-tents on reception tables and in program  Putting Contest Sponsor - $750  Company name on sign at tee and in program  Company representative on site  Lunch Sponsor - $500  Company name on sign in cookout area and in program  Beverage Sponsor - $500  Company name on sign at beverage stations and in program  Team Sponsor - $600 (Payment for four person golf team of your players)  Company name listed in program  Medical Student/Resident Team Sponsor - $600 (Payment for four person golf team of medical students/residents)  Company name listed in program  Longest Drive Sponsor - $500 (Men & Women)  Company name on sign at tee and in program  Closest to the Pin Sponsor - $500 (Men & Women)  Company name on sign at tee and in program  Tee/Hole Sponsor - $500 (LIMIT OF TWO PER HOLE)  Company name on sign at tee and in program

SOLD

We would like to be a sponsor for the 9th Annual SCMS Foundation Golf Outing, as follows: Company Name: __________________________________________________________________________ Contact Person: __________________________________________________________________________ Address: ________________________________________________________________________________ Phone: ____________________________Email: _______________________________________________ Sponsor Level: __________________________________________________________________________ RETURN FORM AND CHECK BY FRIDAY, MAY 25, 2018, TO: SCMS Foundation  350 St. Andrews Road  Suite 242  Saginaw, MI 48638-5988 Questions? Contact Joan M. Cramer, SCMS Executive Director, at jmcramer@sbcglobal.net or 989-790-3590 Forms are downloadable at www.SaginawCountyMS.com 3/25/18 4:06PM

NOTE: For income tax purposes, the following values are NOT tax deductible: Golf participant, $88 each. An IRS-compliant tax deduction receipt will be provided upon request.

The Bulletin | April 2018

9th Annual Golf Outing

Four Person Scramble Saturday, June 9, 2018  Saginaw Country Club 12 p.m. Registration  1 p.m. Shotgun Start TEAM REGISTRATION FORM Please sign up the following golfers to participate in the 9th Annual SCMS Foundation Golf Outing on Saturday, June 9, 2018. Golfers may sign up as an individual, or as a four-person team. Those that sign up as individuals will be assigned to a four-person team. The charge per golfer is $150, and includes green fees, cart, practice range, cookout lunch, beverages (domestic draft beer, Coke and Pepsi products, bottled water) on the course, two drink tickets (soft drinks, draft beer, house wine) and heavy hors d’oeuvres award reception with prizes. REGISTRATION PRIOR TO THE GOLF OUTING IS REQUIRED! Please sign up the following golfers: GOLFER NAME

 PLEASE PRINT!  PHONE

1. 2. 3. 4. If team is sponsored, please indicate name of sponsor for program_______________________________ Please return form and check by Friday, May 25, 2018 ($150 Per Golfer) to: SCMS Foundation 350 St. Andrews Rd., Suite 242 Saginaw, MI 48638-5988 Call Joan Cramer at 989-790-3590 or email jmcramer@sbcglobal.net with questions. Forms are downloadable at www.SaginawCountyMS.com If play is stopped because of inclement weather before five holes are completed, there will be no guest fee charged. If play is stopped between five and 13 holes, the guest fee will be the nine-hole rate. Playing 14 holes shall constitute the playing of 18 holes, and guests will be charged the full guest fee. Groups playing less than five holes will still be subject to and responsible for all other non-golfing products and services for which they contracted. The Saginaw Country Club is a spikeless facility and golf course. Arrangements may be made ahead of time with the Saginaw Country Club Pro Shop for guests that need to change spikes. The fee is $7 per set. NOTE: For income tax purposes, $88 of the total per golfer charge is NOT tax deductible: An IRScompliant tax deduction receipt will be provided upon request. 1/30/18 10:17AM

The Bulletin | April 2018 9

Suicide Prevention Group Changes Name, Announces New Funding

After spending nearly three decades saving lives from suicide and supporting those left behind in its wake, Saginawbased Survivors of Suicide is announcing a new name and logo. Honoring the organization’s founder and more accurately reflecting its expanded mission, the new name is the Barb Smith Suicide Resource & Response Network. After a personal tragedy of her brother, John’s, suicide, Barb founded the grassroots organization and has grown it into a highly valued community resource -- the only one of its kind in the area: • Raising awareness of the prevalence of suicide • Preventing suicides by training students, teachers, law enforcement, and health professionals, community members, and more • Providing a free 24/7 call line to support those who need help and for those who have lost a loved one by suicide Three significant grants will help the organization carry out its work throughout the region. A $25,000 grant from the Dow Corning Foundation will help the Barb Smith Suicide Resource & Response Network provide workshops in schools so that teachers and students learn to recognize those at risk of suicide and refer them to life-saving resources. Two other grants -- $50,000 from The Dow Chemical Foundation and $25,000 from the Charles J. Strosacker Foundation -- will help the Barb Smith Suicide Resource & Response Network conduct similar training with health professionals and first responders. Because the organization has pioneered several initiatives and has relentlessly opened up the conversation about suicide in the community, it continues to be consulted by a growing number of organizations, including more than 50 area 10 The Bulletin | April 2018

middle and high schools, hospital emergency rooms, police departments, local funeral homes, faith communities and more. The Barb Smith Suicide Resource & Response Network is also working to change the way the next generation of health care providers and mental health professionals learn about suicide by collaborating with Central Michigan University College of Medicine and Saginaw Valley State University Crystal M. Lange College of Health and Human Services Department of Nursing to integrate health and behavioral health education. “Last year in the Great Lakes Region, 2,074 people called 9-1-1 reporting or threatening suicide,” Smith notes. “More than 50 died by suicide in 2015. Likely 80 percent of them told or showed someone beforehand. Whether that ‘someone’ is a friend, family member or a family physician, we need to make sure we all know how to recognize the signs and connect people to the right resources for full suicide intervention.” The Barb Smith Suicide Resource & Response Network operates a 24/7 helpline to respond to those who need help. Special events like the Walk for Hope on Sunday, August 12 in Midland, help reduce the stigma of suicide and support family and friends left behind after suicide loss. In addition, each November, the Barb Smith Suicide Resource & Response Network hosts Hope Starts Here, a day-long event designed for survivors of suicide loss to experience hope and understanding from those who share a similar experience. The Barb Smith Suicide Resource & Response Network is located on the second floor of the CMU College of Medicine building on the campus of Covenant HealthCare. Executive Director Barb Smith Board Members Craig Voorheis, President Greg Dorrien, Vice President Larry Jacobs, Treasurer Beth Wirgowski, Secretary Dr. Don Steele Nick McKenzie Linda Dorr Joy Buchanan Nonprofit 38-3400293

APPLICATIONS FOR MEMBERSHIP

Below is an Application for Membership that may be recommended for acceptance at the Tuesday, June 19, 2018, Board Meeting. Please contact Joan Cramer at jmcramer@ sbcglobal.net or 790-3590 if you have any questions or would like more information on the applicant. Humera (Mena) Khan, MD (CMU College of Medicine-Covenant HealthCare Simulation Center, Assistant Director) Specialty: Academic, no medical license Medical School: Ross University, Dominica, 2011 Additional Training: University of Dundee, Scotland, United Kingdom, Cert. MedEd. Sponsors: Doctors George E. Kikano and Steven J. Vance Per MSMS: Dr. Khan can become a member under academic teaching. MSMS/SCMS Bylaws 2:30 - “To be eligible for active membership...must hold an unrevoked, permanent license that is not currently under suspension in Michigan, or if unlicensed, must be engaged in academic teaching, research, or administration.”

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April 2018 Meeting Minutes and Second Victim

he regular Membership Meeting of the Saginaw County Medical Society was held on Tuesday, April 17, 2018, at Horizons Conference Center. Julia M. Walter MD, SCMS President, called the meeting to order at 7:10 p.m. Dr. Walter welcomed speakers for the evening - Kirsten A. Guenther MD, Ronald C. Hazen MD and Kimiko D. Sugimoto MD; guests Kristen Tomke RN BSN, Molly E. Gabriel-Champine PhD LP, and Vickie Mello DO; residents, medical students, spouses, significant others and guests. Dr. Walter thanked Key Providers in attendance for their ongoing support of SCMS Membership Meetings: Caretel Inns of Tri-Cities – Dean Rumsey; Covenant Structural Heart Disease – Drs. Firas Alani and Manoj Sharma, and Barb Hoffman; and Healthway Compounding Pharmacy – Larry Greene. She also encouraged members to stop by Covenant’s Risk Management table for information on their services. Dr. Walter then conducted the following business of the SCMS: • The Minutes of the January 16, 2018, Membership Meeting were attached to the Agenda and published in the February/March Bulletin. MOTION: Approve the January 16, 2018, Meeting Minutes as printed. MOTION APPROVED. • Announced new members approved at tonight’s Board Meeting: a) Hassan Hussein Beiz MD (CMU Health-Internal Medicine), Internal Medicine; b) Raya C. Beiz MD (CMU Health-Internal Medicine) Internal Medicine and Infectious Disease; c) Andrew H. Cohen DPM (Mid-Michigan Foot & Ankle Center) (Affiliate Member), Podiatry; d) Asim A. Kichloo MD (CMU Health-Internal Medicine), Internal Medicine; e) Jeffrey S. Milewski DO (Valley ENT Associates, PC), Ear, Nose and Throat and Facial Plastic Surgery; f) Kristi M. Murphy MD (Advanced Diagnostic Imaging, PC), Diagnostic Radiology and Vascular Interventional Radiology; and g) Arvind R. Patel MD (Advanced Diagnostic Imaging, PC), Diagnostic Radiology. 12 The Bulletin | April 2018

Above: Dr. Dan Wechter, Lindsay Murphy M2, Dr. Jim Hines, Karen Constan, Dr. Mark Greenwell and Dr. Lou Constan

• Introduced CMU Health-Ob/Gyn residents attending their first meeting: a) Jennifer A. Henrich MD b) Ashley M. Lopez MD c) Anushka N. Magal MD d) Stephanie P. Mager MD e) Alexa M. Shepherd MD ANNOUNCEMENTS: • CMU College of Medicine’s “Thanks for Staying” Rotary Scholarships 2018 Fundraising Event will be held on Thursday, April 19 from 5:30-7:30 p.m. at CMU College of Medicine in Saginaw. • The 9th Annual SCMS Foundation Golf Outing will be held on Saturday, June 9, 2018, at the Saginaw Country Club. The Golf Outing raises funds so the Foundation can offer low interest loans to medical students, and to fund research and grants for medical students and residents. All loan interest is forgiven if the physician sets up practice in Saginaw upon completion of their residency. Additionally, 25 percent, or a maximum of $5,000 of principal per year is forgiven if the physician is an active SCMS member. In the past eight years, over $165,000 has been raised from the event. Sponsorship and Team Registration Forms are on the tables tonight and available on our website www.SaginawCountyMS.com under the Golf Outing tab. PROGRAM: Dr. Walter spoke about Second Victims, and the purpose of the meeting. She welcomed Dr. Sugimoto to the podium who spoke about her experiences. Dr. Walter then welcomed Dr. Hazen, who talked about an experience he had 30 years ago that affected the way he practiced medicine the rest of his career. Finally, Dr. Walter welcomed Dr. Guenther from Covenant’s HOPE Team. Dr. Guenther shared a brief video and slide presentation about Second Victim, and spoke about resources available to physicians and other healthcare personnel.

continued on page 13

continued from page 12 Dr. Walter thanked everyone for attending, and invited them to attend our Annual Membership Meeting on Tuesday, May 15, 2018, at Horizons. Dean George E. Kikano MD will give an update on the CMU College of Medicine. The meeting was adjourned at 8:03 p.m. Respectfully submitted, Joan M. Cramer Executive Director

SECOND VICTIM Information Courtesy of

• • • • • • •

Second Victim Support How YOU Can Help Find a quiet place to talk. Ask open-ended questions. “Tell me more.” Listen. Paraphrase what you’re hearing. “It sounds like you’re pretty angry with the situation. Is that right?” Be empathetic. “That must be overwhelming for you.” Help the person plan the next day or week, incorporating positive activities into the schedule. Direct the person to resources, such as an employee assistance program. Second Victim Support DON’TS!

• Investigate. • Try to “fix” anything. • Use statements that belittle the person’s feelings, such as, “It was just a routine complication.” • Shut the person down. • Share information about the encounter with ANYONE. If you would like more information, please contact: HOPE Team – Here forYOU HOTLINE 989.583.HOPE (4673) www.covenanthealthcare.com/hopeteam Kirsten A. Guenther, MD FACEP Covenant HealthCare Emergency Physician ECC Physician Administrator HOPE Team Lifeguard KGuenther@chs-mi.com Kristen Tomke, RN BSN Covenant HealthCare Risk Management Specialist Kristen.Tomke@chs-mi.com 989.583.7264

Top: Drs. Duane Heilbronn, Stephanie Mager (PGY3), Vickie Mello (CMU Attending), Alexa Shepherd (PGY1), Jennifer Henrich (PGY1), Anushka Magal (PGY1) and Ashley Lopez (PGY3) Bottom from left: Dr. Kirsten Guenther, Dr. Kimiko Sugimoto

Additional information: Sidney Dekker on The Second Victim (video presented by Dr. Guenther during her presentation). Sidney Dekker (PhD Ohio State University, USA, 1996) is professor at Griffith University in Brisbane, Australia, where he runs the Safety Science Innovation Lab. He is Chief Scientist at Art of Work, and has honorary professorial appointments at The University of Queensland and Lady Cilento Children’s Hospital in Brisbane. Previously, he was Professor of human factors and system safety at Lund University in Sweden. After becoming full professor, he qualified on the Boeing 737, and worked part-time as an airline pilot out of Copenhagen. He has won worldwide acclaim for his groundbreaking work in human factors and safety. His debut documentary, Safety Differently, was released in October 2017, and he is a bestselling author of, most recently: The Safety Anarchist (2017); The End of Heaven: Disaster and Suffering in a Scientific Age (2017); Just Culture: Restoring Trust and Accountability in Your Organization (2016); Safety Differently (2015); The Field Guide to Understanding ‘Human Error’ (2014); Second Victim (2013); Drift into Failure (2012); and Patient Safety (2011). See more at sidneydekker.com Albert Wu, MD, MPH, is Professor of Health Policy and Management at the Johns Hopkins School of Public Health. A leading expert on disclosure and the psychological impact of medical errors on both patients and caregivers, he may be best known for coining the term “Second Victim” in a 2000 British Medical Journal article. Learn more about Dr. Wu. Read Dr. Wu’s article in the British Medical Journal, “Medical Error: The Second Victim - The doctor who makes the mistake needs help too.” For more information, visit www.SaginawCountyMS.com The Bulletin | April 2018 13

APRIL 2018 BULLETIN APRIL 2018 BULLETIN Put right after Second Victim info info Put right after Second Victim

Second Victim Resources Available RESOURCE

Second Victim INDICATIONS Resources Available FOR RESOURCE

RESOURCE

•

Chaplain Office on-‐call chaplain Use Vocera and ask for

Chaplain Office Use Vocera and ask for on-‐call chaplain

• Employee Assistance Program (EAP) Office: 989.790.7500 • Wellness C enter o f C hild nd Family Services Employee Assistance Parogram (EAP) Office: of Saginaw 989.790.7500 www.childandfamilysaginaw.org

Wellness Center of Child and Family Services of Saginaw • Covenant Employee Health www.childandfamilysaginaw.org (After hours, contact the Shift Administrator.)

Covenant Employee Health (After hours, c ontact the Shift Administrator.) Personal Counselor Patient SCafety Personal ounselor Alan Spencer 989.583.6176 BJ Helton 989.583.4257

Patient Safety Alan Spencer 989.583.6176 Risk Management BJ Helton 989.583.4257

Tyler Danek: 989.583.4142 Kristen Tomke: 989.583.7264

Risk Management

The BulletinTyler | April 2018 Danek: 989.583.4142

Kristen Tomke: 989.583.7264

• • • •

• •

Following a stressful a person’s sense of INDICATIONS FOR eRvent, ESOURCE

and ab selief system often into •spirituality Following tressful event, a cpomes erson’s sense of focus. Chaplains can provide the following spirituality and belief system often comes into services: focus. Chaplains can provide the following o Spiritual assessments services: o Spiritual guidance and grief counseling o Spiritual assessments o Crisis intervention o Spiritual uidance support and grief counseling o Assistance in agcquiring services o Crisis from one’s intervention own tradition or faith o Assistance in atcquiring support o Help with exploring he new m eaning services ne’s poroviding wn tradition r ftaith after from the eo vent, hope foor he future. o Help with exploring the new meaning For assistance with the working through problems, after event, providing hope for the concerns, and other issues that may relate to the future. event o r t hat m ay bw e tith riggered by tthe event. • For assistance working hrough problems, Available t o a ssist w ith n on-‐work-‐related concerns, and other issues that may relate to the problems as fm amily, mtarital, occupational, event souch r that ay be riggered by the event. financial, legal, substance abuse, emotional and • Available to assist with non-‐work-‐related phase of life concerns. problems such as family, marital, occupational, If you are experiencing physical or emotional financial, legal, substance abuse, emotional and symptoms that may require medical attention, life oconcerns. you phase should orf each ut to Covenant Employee •Health If ytou a re e xperiencing physical r emotional o discuss your options. Also, polease fill that m ay require mRedical attention, out symptoms a “Work Related Injury” form in L Solutions. you should reach coounselor, ut to Covenant If you have a personal you can Edmployee iscuss o dtiscuss your options. lso, please fill this Health event wtith hem for support and g Auidance. a “Work Related Injury” form in Rquality L Solutions. For qout uestions regarding patient safety and •of care. If you have a personal counselor, you can discuss For qthis uestions adverse event and guidance. event regarding with them for support and nrext steps. patient safety and quality •investigations For questions egarding Identification of care. of system issues/problems that relate to patient safety concerns. • For questions regarding adverse event investigations and next steps. For questions about liability issues/concerns. •For qIdentification of system issues/problems that uestions regarding disclosure process and relate to patient safety concerns. documentation strategies.

• •

For questions about liability issues/concerns. For questions regarding disclosure process and documentation strategies.

Centers for Medicare & Medicaid Services - MIPS CMS Releases 2018 MIPS Eligibility Tool You can now use the updated CMS MIPS Participation Lookup Tool to check on your 2018 eligibility for the Merit-based Incentive Payment System (MIPS). Just enter your National Provider Identifier, or NPI, to find out whether you need to participate during the 2018 performance year. Changes to Low-Volume Threshold To reduce the burden on small practices, we’ve changed the eligibility threshold for 2018. Clinicians and groups are now excluded from MIPS if they: • Billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS) OR • Furnished covered professional services under the PFS to 200 or fewer Medicare Part B-enrolled beneficiaries This means that to be included in MIPS for the 2018 performance period, you need to have billed more than $90,000 in Medicare Part B allowed charges for covered professional services under the PFS AND furnished covered professional services under the PFS to more than 200 Medicare Part B-enrolled beneficiaries. Note: The 2018 Participation Lookup Tool Update for Alternative Payment Model (APM) participants will be updated at a later time. Find Out Today Find out whether you’re eligible for MIPS today. Prepare now to earn a positive payment adjustment in 2020 for your 2018 performance.

9th Annual Golf Outing Saturday, June 9, 2018 Saginaw Country Club FOUR PERSON SCRAMBLE 12 p.m. Registration • 1 p.m. Shotgun Start

$150 Per Golfer Includes: Green Fees • Cart • Practice Range Cookout Lunch • Beverages on the Course Two Drink Tickets • Award Reception • Heavy Hors D’oeuvres • Prizes Contact the SCMS at 790-3590 or jmcramer@sbcglobal.net

Join over 4,000 Ascension healthcare providers now practicing with Certitude.

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Certitude coverage delivers: • Risk resources to help you manage your practice, enhance patient safety, and save money • Flexible payment options to fit your needs • Certitude peer input for difficult claims and underwriting issues • Unified claims approach that helps you protect your important identity • Enhanced coverage for today’s ever-changing medical environment For more information on Certitude, call ProAssurance at 800.282.6242 or visit CertitudebyAscension.org.

The Bulletin | April 2018 15

14th Annual FREE Health Fair “The Doctor Is In!”

Over 1,000 people attended this year’s event and visited 80 vendor booths.

The 14th Annual FREE Saginaw County Medical Society Health Fair “The Doctor Is In,” held on Saturday, March 17, 2018, at Horizons Conference Center in Saginaw was another success! The SCMS planned this great event in cooperation with CMU Health, Covenant HealthCare, Great Lakes Bay Health Centers, Michigan CardioVascular Institute, St. Mary’s of Michigan | Ascension and the Saginaw County Osteopathic Society. Over 1,000 people attended this year’s event and visited 80 vendor booths. Numerous SCMS physicians, residents and medical students participated in the event as well. During the Health Fair, vendors performed screenings for balance, blood pressure, body mass index, cholesterol, depression, diabetic foot exams, glucose, hearing, neuro assessment, posture, pre-diabetes, skin cancer, spine and vision. The SCMS had very positive comments from vendors and participants on everything from location to the numerous screenings that were available. Many SCMS members attended the event and either answered questions at the SCMS booth, or just made themselves available for questions during the Health Fair. Both the vendors and participants commented how nice it was to have doctors available for questions. Non-perishable food items for the East Side Soup Kitchen were also collected from those attending. The Saginaw County Health Department and Sheriff ’s Department collected old, unused or unwanted medications.

SCMS 14th Annual Health

Top (left to right) Dr. Caroline Scott promotes the Health Fair on WNEM TV5 Dr. Steve Vance, Riley Cho and Dr. Chris Allen Drs. Lou Constan and Jim Hines Bottom Left to Right Drs. Anthony Zacharek and Andrew Goodrich Drs. George Gugino and Lester Webb

The SCMS would like to give special thanks to the following: Thank you to the following for helping us advertise the Health Fair: Robert L. Borenitsch, DO Doris D. Cataquiz, MD Douglas Family Vision E. George Galsterer, DO Great Lakes Family Health Center Jeff’s Barber Shop, St. Charles Junction Valley Railroad/Stenger Family Karu Medical Associates Michigan CardioVascular Institute St. Mary’s Towne Centre WNEM-TV5 Morning Show

Event Sponsors & Donors We couldn’t have done it without you! Ben Benkert | Peak Performance PC Services, LLC CMU Health Covenant HealthCare D&M Marketing and Publishing, Inc. | Word Up Community Magazine Delta College Nursing Students and Faculty Great Lakes Bay Health Centers Kiron Choudhri | Horizons Conference Center (discounted rental space) Stephanie Krieger | s7 Consulting Lori Krygier | Graphic Designer Michigan CardioVascular Institute Russ’ Sign Rental, LLC (discounted rates) Saginaw County Osteopathic Society Saginaw Medical Federal Credit Union St. Mary’s of Michigan | Ascension Ron Weighman and Staff | Dornbos Printing Impressions (in-kind donation)

Fair Highlights

Top (left to right) Drs. Mike Dense and Dan Kehres Dr. Danielle Duncan speaks with a patron Drs. Austin Friswold, Andrew Cohen and Owen Morris of CMU Health Podiatry Bottom Right Ben, Keri, Dylan, Halle and Owen Benkert

continued on page 18

SCMS Members Who Participated (please contact the SCMS if we missed anyone): Rita M. Agayby, MD Christopher J. Allen, MD Abhishek A. Bhandiwad, MD Robert L. Borenitsch, DO Andrew M. Cohen, DPM Louis L. Constan, MD Michael J. Dense, DC Danielle C. Duncan, MD Austin G. Friswold, DPM Andrew S. Goodrich, DO George J. Gugino, MD James R. Hines, MD Daniel B. Kehres, DC Gurtej S. Mann, MD Owen C. Morris, DPM Caroline G.M. Scott, MD Steven J. Vance, MD Amanda K. Waterman, MD Lester E. Webb, MD Anthony M. Zacharek, MD CMU Medical Students who performed screenings: Mutshipay Mpoy Jisselly Sanchez Salcedo Kayleigh Watson Volunteers Delta College Nursing Faculty/Students: Meredith Bladecki MSN RN CNE Daisy McQuiston MS RN CNE Caroline Baldwin Bailey Barden Meghann Bokhart Tara Conrad Megan Dopp Devyn Keawe Matsumiya Lauren McDonald Becky McGuire Lynn Miner Sherrie Mullen Emily Neuhaus Brooke Reaume Abbey Van Kuiken Leanne Willard Cori Wright Riley Cho The Bulletin Stephanie Krieger| April 2016 17

MARK YOUR CALENDAR NOW! The 15th Annual FREE Health Fair will be held on Saturday, March 16, 2019, at Horizons Conference Center from 9 a.m. to 12 p.m.! continued from page 17

Finally, thank you to our vendors who performed screenings, gave information and helped over 1,000 Saginaw County residents better their health!

Top (left to right) Stephanie Krieger with Tony Holstine of HealthSource Volunteers Make It Happen! Cholesterol screening Bieri Hearing CMU Health screenings

Bottom (left to right) Great Lakes Bay Health glucose testing Covenant Cancer and Wound Center Dump Your Drugs station Chair massages were very popular Renue Physical Therapy

The Bulletin | April 2018

ADIO Chiropractic AFLAC Insurance Airway Oxygen, Inc. Alzheimerâ&#x20AC;&#x2122;s Association-Greater Mich. Chapter American Cancer Society Americans Home Health & Hospice Care, Inc. Barb Smith SUICIDERESOURCE & Response Network Bay County Health Department Bieri Hearing Specialists Caretel Inns of Tri-Cities Chemical Bank Child & Family Services ClearCaptions CMU College of Medicine | CMU Health Comfort Keepers Compassionate Care Home Health Services, Inc. Compassus Hospice Covenant Advance Care Planning Covenant Bariatric & Metabolic Center Covenant Breast Health Center Covenant Physical Therapy

Above: Caretel Inns of Tri-Cities

Covenant Plastic Surgery Covenant Pulmonary Covenant Stroke Covenant Trauma Program Covenant Virtual Care Covenant Visiting Nurse Association Covenant Wound Center Diamond Home Health Care DOT Caring Centers, Inc. Edgewood Assisted Living Center Food Addicts in Recovery Anonymous Gift of Life Michigan Great Lakes Bay Health Centers

Above: St. Mary’s Emergency Services

Great Lakes Eye Institute Great Lakes Yoga HealthSource Saginaw Hear USA Hearing Loss Association of America, Mid-Michigan Horizon Physical Therapy Impact Medical Supply Kehres Health & Chiropractic Mannor Financial Group Meijer, Store #42 Michigan CardioVascular Institute Mid-Michigan Surgical Specialists, PC

Miracle-Ear My Community Dental Centers New Hope Valley Paramount Rehabilitation Services Pearle Vision Physicians Hearing & Balance Center Pro-Air Medical Supply & Equipment Ray’s Physical Therapy/Rehab Movement Wellness Renue Physical Therapy Reverence Home Health & Hospice Right at Home – Northern Michigan Rodnick Chiropractic Clinic Saginaw Academy of Family Physicians Saginaw County Commission on Aging Saginaw County Health Dept. & Sheriff’s Dept. Saginaw County Medical Society Saginaw County Osteopathic Society

Saginaw Health Plan Saginaw Medical Service, Inc. Select Specialty Hospital Shields Chiropractic Sleep Number Saginaw St. Francis Home of Saginaw St. Mary’s Center of HOPE St. Mary’s Diabetes Program St. Mary’s Neuroscience/Stroke St. Mary’s Seton Cancer Institute St. Mary’s Trauma Center & Concussion Clinic Swanhaven Manor Retirement Community Thomas Orthodontics Underground Railroad Visiting Angels Wellness Services, Inc. Wescourt Retirement Community

Visit our website www.SaginawCountyMS.com for more event pictures

The Bulletin | April 2018 19

Central Michigan University’s College of Medicine is on a Winning Streak! Continuing last year’s success, CMU students were well received by the nation’s residency programs, with a cumulative match rate of nearly 100 percent. Staying true to its mission of improving access to high-quality health care in Michigan, with an emphasis on rural and medically underserved regions, the College of Medicine placed 75 percent of graduates in primary care and 54 percent in Michigan.

“We are thrilled that our results in the match reflect the mission of our college - to educate and train primary care physicians for our community and for Michigan,” said Dr. George Kikano, Dean of the CMU College of Medicine. “Our team’s hard work investing in student success is paying off dividends.” Match Day is the national release of four days of emotional buildup at medical schools across the country, when graduates open sealed envelopes at precisely 11:59 a.m. EST to find out where they will do their residencies. “I’m very grateful and humbled for what the future brings.” - Nicholas Cozzi, College of Medicine student from Chicago, Illinois The matches are determined by a computerized mathematical algorithm used by the National Resident Matching Program to align the specialty and location requests of students with the preferences of program directors at U.S. teaching hospitals. The organization expects the 2018 match to be the largest, exceeding the more than 43,000 applicants who registered for the 2017 match. Of those, just over 31,000 received residency positions. CMU’s statistics are exciting, but it’s the results that matter to the students and their families.

In Father’s Footsteps Joshua Forsyth of Chesaning matched into a Family Medicine residency at CMU Medical Education Partners, 20 The Bulletin | April 2018

his top choice. He is one of five graduates who will enter the military after residency. His choice is the U.S. Air Force. “It’s really cool that I get to stick around home and be close to the family, having my support system close, somebody to learn from,” he said. He is following in the footsteps of his father, Doug, a family physician for 16 years at St. Mary’s Clinic in Chesaning and a preceptor in CMED’s Comprehensive Community Clerkship. A preceptor is an experienced practitioner who provides supervision during clinical practice. “I’m really proud of him,” Doug said. “We’ll get to ride bicycles together for a few more years.” A Long Journey Nicholas Cozzi, from Chicago, Illinois, matched in Emergency Medicine at Spectrum Health at Michigan State University in Grand Rapids. “I’m incredibly grateful,” Cozzi said. “It’s been a long journey. To just be at this moment and reflecting on the people who have helped me to get to this point, I’m very grateful and humbled for what the future brings.” CMU students selected a wide variety of specialties, with the top three being Family Medicine (19 percent), Internal Medicine (18 percent) and Emergency Medicine (17 percent). “Our students’ choices of specialties, as well as their overall desire to stay in Michigan, tell us that we are doing things right,” said Dr. Steve Vance, CMU College of Medicine associate dean for clinical education. “From our admissions process to the curriculum to our faculty, clinical education partners and communities, this is working.”

Reflections, Marriage Some of the graduates took time to reflect on their experiences at CMU, most often remarking on their opportunities to make an impact on the program and the close faculty-student relationships. “Medical school can be intimidating at times,” Forsyth said. “But at Central, all the faculty and preceptors have been very kind, love to teach and have a passion to make this young college the best it can be. That shone through in the enthusiasm for educating us students and making it friendly and supportive. “You feel part of a team with the faculty.” Elaina Molter and Andrew Shadrach not only found a medical school with receptive faculty and mentors, they also found love. Molter, from Charlevoix, Michigan, and Shadrach, from Montgomery, New Jersey, and most recently Midland, Michigan, began dating at the end of their first year. They will marry August 31. They went through a “couples match,” continued on page 21

continued from page 20

where they sought placements near each other. Molter and Shadrach were matched to St. Mary Mercy in Livonia for Family Medicine. “I’m very excited to be by family,” Molter said. “We are really excited to be in Michigan. In the future, we would like to go into private practice together,” Shadrach said, “probably some place rural in Michigan.” The CMU College of Medicine, established in 2009, was created to address an anticipated shortage of 4,000 to 6,000 physicians in Michigan by 2020. Data released recently by the Association of American Medical Colleges cites an anticipated shortage of between 41,000 and 105,000 doctors throughout the U.S. over the next decade.

Partnership: Match Day Success New community funding supports CMU residents in Saginaw Central Michigan University Medical Education Partners, a partnership between the CMU College of Medicine, Covenant HealthCare and St. Mary’s of Michigan, has successfully matched 10 students to complete their residency training in Saginaw. The College of Medicine graduating seniors will train in the areas of Family Medicine, Emergency Medicine, Psychiatry and Internal Medicine. Graduate medical education programs in Saginaw also include General Surgery, OB-GYN and Podiatry. “We are ecstatic that the mission and vision of the CMU College of Medicine is being realized,” said Dr. Samuel Shaheen, Executive Director of CMU Medical Education Partners. “This will serve to address the physician shortage that our area has faced.” New support funding this year for these residencies comes from the Jeffers Foundation and the region’s four Rotary Clubs. “The Jeffers Foundation is giving every CMU resident who matches into any Partners’ specialty $10,000 for loan repayments to aid in retention and incentivize them to stay in the community,” said Dean Kikano. The Rotary Clubs used matching dollars from the national Rotary to raise more than $200,000 for its “Thank You for Staying” fund to support students staying in Saginaw. The goal is to keep working to create a $1 million endowment for loan repayment scholarships, he said. CMU College of Medicine Awarded Continuing Medical Education Accreditation Central Michigan University’s College of Medicine has achieved a new level of accreditation that now ranks its

Top: (left to right) Doug Bell, Taylor Boehler Gaudard and Kathleen Duemling, Josh and Shannon Donkin Botttom: Joshua Forsyth and Family

continuing medical education programs for faculty equivalent to the top medical schools in the United States. After a thorough review of CMU’s Office of Continuing Medical Education, the national Accreditation Council for Continuing Medical Education decided to award the College accreditation with commendation through 2024 as a provider of continuing medical education for physicians. The decision was based on a review of CMED’s self-study report, evidence of its performance in practice and an accreditation interview. Among the Council’s highlights were CMED’s strategies to overcome barriers to change, its collaboration with stakeholders and its focus on continued improvement. The top national medical schools with this ranking include Harvard, Stanford and Yale. The schools in Michigan with the ACCME accreditation with commendation ranking are the University of Michigan School of Medicine, Michigan State University College of Human Medicine, Wayne State University School of Medicine and Oakland University William Beaumont School of Medicine.

continued on page 22 The Bulletin | April 2018 21

continued from page 21 “The CMU College of Medicine is honored to be able to bring this level of accredited continuing medical education to our area,” said Dean Kikano. “As we educate future physicians, our faculty and community physicians who teach our students and residents must continue their lifelong learning,” he said. “The CMU Office of Continuing Medical Education worked diligently to provide and attain ACCME accreditation with commendation to assure faculty and community physicians of the highest standards and quality in continuing medical education.” Continuing medical education in Saginaw previously was accredited at the state level. The existence of the College of Medicine allowed pursuit of this national-level accreditation. In addition to this achievement, CMU Medical Educational Partners recently announced the establishment of a surgical residency program starting in July 2018 at Covenant HealthCare and St. Mary’s of Michigan under the leadership of John Blebea, MD. A new podiatric medicine and surgery residency, with reconstructive rear foot/ankle program, was launched last year and approved by the Council on Podiatric Medicine. The CMU College of Medicine and CMU Medical Education Partners currently manage six residencies and one fellowship program accredited through the Accreditation Council for Graduate Medical Education.

The College of Medicine also completed its final interview with the Liaison Committee on Medical Education accreditation and is awaiting their decision, expected in June 2018. LCME is the U.S. Department of Education-recognized accrediting body for programs leading to a medical degree in the U.S. The ACCME system employs a rigorous process for evaluating institutions’ continuing medical education programs according to standards that reflect the values of the educator’s community and aim to accelerate learning, inspire change and champion improvement in health care. Through participation in accredited CME, clinicians and teams drive improvement in their practice and optimize the care, health and wellness of their patients. CMU’s Office of Continuing Medical Education supports more than 4,000 faculty and community physicians in Michigan’s Great Lakes Bay region, in addition to providing livestreaming educational opportunities to physicians in rural, remote and underserved areas throughout the state. Special thanks are given to CME Program Administrator, Joan C. Ford, CHCP and her team for their tireless efforts in bringing this special recognition to the Department. For more information, call 989-746-7602 or email CMEDCME@cmich.edu.

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The Bulletin | April 2018

MAY BIRTHDAYS

Joseph G. Adel MD Marina I. Ananich MD Eventure D. Bernardino MD Sultan M. Bhimani MD Adam Z. Cote DO Ryan L. Cox MD Del J. DeHart MD J. Patricia Dhar MD Kenneth W. Distler MD Daniel J. Dymek MD Thomas A. Egleston MD Linval K. Fleetwood MD Douglas B. Forsyth MD Suhasini Gudipati MD George J. Gugino MD Srinandan Guntupalli MD Enam B. Hanna MD Mayar M. Jundi MD Ryan J. Kim MD Shirley A. Layko MD Stephanie P. Mager MD Michael T. McAvoy MD

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Jeffrey S. Milewski DO Thomas M. Minnec MD Rajesh Mithalal MD Henry W. Moon MD Yvonne V. Pacquing MD Dhara D. Patel MD Jill M. Paveglio MD Olivia A. Phifer-Combs MD Gregory A. Pinnell MD J. M. Prasad MD Kala K. Ramasamy MD Chalichama A. Rao MD K. K. Ravindran MD Thomas M. Raymond MD Stuart J. Rupke MD Triptpal S. Sanghera MD Samuel J. Shaheen MD Sukhmanpreet Singh MD Sarine Trochakerian MD Faiz Tuma MD Lester E. Webb MD Hani H. Zreik MD

5/22 5/9 5/16 5/24 5/17 5/23 5/16 5/16 5/30 5/17 5/8 5/27 5/15 5/30 5/7 5/1 5/8 5/19 5/28 5/28 5/22 5/5

VISIT OUR WEBSITE TODAY! | www.SaginawCountyMS.com

5580 State St Suite 4 Saginaw, MI 48603

J AN H AUCK & A NDREW H AUCK 989.798.5217 •

IKNOWSAGINAW . COM

• 989.798.2981

The Bulletin | April 2018 23

SSM 2018: Earn Up to 16.25 AMA PRA Category 1 Credit(s)™ Join the MSMS Foundation for its 7th Annual Spring Scientific Meeting, collaborate with colleagues and learn about cutting edge clinical advances from local and national experts. This year's conference will take place Thursday, May 17 and Friday, May 18 at the DoubleTree by Hilton in Dearborn. Earn up to 16.25 AMA PRA Category 1 Credit(s)™ and 16.25 MOC points during this two day event. READ MORE Prescribing Update: Bona Fide Relationship Provision to be Delayed The requirement to establish a "bona fide prescriber-patient relationship" prior to prescribing any controlled substances, which was part of the recently enacted opioid and prescribing legislative package, will be delayed pending the Governor's signature. As passed by the Legislature, House Bill 5678, sponsored by Rep. Bronna Kahle (R-Adrian), extends the effective date to March 31, 2019, or upon the promulgation of rules if prior to March 31, 2019. READ MORE

2018 MSMS Student Lobby Day Nearly 50 medical students from five medical schools in Michigan met with lawmakers on Wednesday, April 18, to urge support for more graduate medical education funding in the state budget, to increase awareness and work on the opioid epidemic and the importance of vaccinations. CMU College of Medicine students attending were: James Haubert, Dalia Khader, Lindsay Miller, Shelby Falkenhagen, Danielle Hebert, Elizabeth Godfrey, Lindsay Murphy, Taylor Boehler and Joshua Donkin. READ MORE Michigan Not Immune from DEA Scam MSMS recently learned of an extortion attempt by scam artists who, posing as Drug Enforcement Administration special agents, call and threaten physicians’ offices. This appears to be part of a larger international extortion scheme 24

The Bulletin | April 2018

that has been making the rounds for several years. The DEA issued a press release warning about such calls to both physicians and consumers. According to the DEA, the criminals try to intimidate victims by alleging the victims have acted illegally regarding the prescribing or purchase of controlled substances. READ MORE

MSMS Government Relations Director Hired Christin Nohner has joined MSMS as Director, State and Federal Government Relations. Christin has been serving in that role for the Michigan Academy of Family Physicians (MAFP) for the last six years. She previously worked for several congressional offices in the U.S. House and Senate. She earned a Master of Public Policy from George Mason University and a BA in Political Science from the University of Notre Dame. Her interests include therapy dogs and fly fishing. MSMS representatives have worked with Christin on collaborative issues with MAFP over the last few years, and she brings great experience, as well as, a good teamwork orientation, a high service ethic and relationships with state legislators and staff. Ask Our Lawyer: Video/Audio Recording of Procedures A patient's wife asked if she could remain with her husband in the ER while I examined him and treated his injury. The husband said that this was fine with him. The wife stood in the corner behind the nurse and I who were focused on performing a procedure. When we were finished, I turned to let the wife know we were finished and all went well and discovered she was making a video of the procedure with her iPhone. She never asked for permission to make the video and no one provided consent. Can a video legally be made under these circumstances? Do I have any legal recourse? READ MORE The Doctors Company Announces $19 Million Member Dividend The Doctors Company announced that it has declared a 2018 premium dividend of approximately $19 million. The Company has paid out more than $415 million in dividends since the program started in 1976. “For 13 consecutive years, we have recognized and rewarded our members by paying a dividend,” said Richard E. Anderson, MD, FACP, chairman and CEO of The Doctors Company. “Unlike commercial insurers that reward shareholders, we reward our members through our generous dividend program and with the Tribute Plan, an unrivaled career benefit that recognizes members for their loyalty and their commitment to the practice of good medicine.” READ MORE continued on page 25

continued from page 24

Prescribing Opioids Safely: How to Have Difficult Patient Conversations By Roneet Lev, MD, Chief of Scripps Mercy Emergency Department, Chair of Prescription Drug Abuse Medical Task Force, and President of Independent Emergency Physicians Consortium Drug overdose is the leading cause of accidental death in the U.S., and opioids account for over 60 percent of those deaths.1 While opioids are effective pain medications when used in the proper setting, concerns arise when the patient's condition lasts longer than three months, and prescribing more medication does not necessarily result in better pain control. Building a strong doctor-patient rapport can help facilitate tough conversations with patients about opioid prescriptions and reduce risks. Communication issues appear in 40 percent of malpractice claims, according to a study by The Doctors Company.2 These tips can help when dealing with opioid requests and prescriptions: • Don't make the mistake of jumping to conclusions that the patient is a drug seeker because the patient is there repeatedly for the same pain complaint. It could instead be a situation of missed diagnosis. Treat this patient like any other patient. Take a good history, including a very detailed medication history. Do a thorough physical examination. • Your prescription drug monitoring program (PDMP) is a valuable tool, like checking allergies and old records. Use the PDMP to learn about your patient's prescription patterns, not just to check for doctor shopping. • Medication refills for chronic conditions should have a medication agreement. ONE doctor and ONE pharmacy should prescribe controlled medication given for three months or more. • When patients say that their medication is not working, ask the patient, "How are you taking the medication?" You'll be surprised how many patients used 400mg of ibuprofen twice a day and it was not enough. Taking a detailed medication history and providing patient education about the right dosage, right timing and side effects to be aware of is essential to medication safety. • When you hand a patient a prescription for a controlled medication, add a few words to let the patient know that these are serious medications: "I will give you a prescription for Norco. Please realize that this is a medication that can be abused. Keep it secure, take it only as prescribed and do not drive if not fully alert." • Be aware of the level of health literacy of the individual

patient, and adjust your language appropriately. Ask patients to repeat back the information you gave to ensure they properly understand. • Communicate the risk of medication theft to patients. Patients who are on a chronic treatment plan should know to watch their medication as closely as they would their money. Get more safe prescribing resources at www SanDiegoSafePrescribing.org and learn more about effective doctor-patient communication at www.thedoctors.com/ askme3

References 1. Increases in drug and opioid-involved overdose deaths - United States, 2010-2015. Centers for Disease Control and Prevention. December 30, 2016. Accessed January 26, 2017. 2. Patient-centered communications: Building patient rapport. The Doctors Company. Accessed January 9, 2017. Full Service Payroll Services Company Becomes MSMS Partner In our ongoing effort to bring additional value to your membership, the MSMS Practice Solutions is pleased to announce our latest partnership with Patriot Software. Patriot has served the small business sector for more than 31 years, and provides full service payroll to small businesses. As our newest partner, Patriot will provide discounted services to all MSMS members, including a 10 percent discount on full payroll services. If you have questions or need help, simply call Patriot Software toll free at 877.968.7147, or go to www.patriotsoftware. com for standard "cafeteria" pricing and compare! MSMS Practice Solutions is a practice management program providing discounts on various products and services. Available only to MSMS members, carefully selected partners are an excellent value that may help physicians and their practices succeed in the ever-changing medical practice environment. When contacting any of the MSMS Practice Solutions partners, be sure to identify yourself as an MSMS member to ensure the best service.

The Bulletin | April 2018 25

St. Mary’s of Michigan Implements Online Scheduling Effective April 2, patients can now schedule appointments online. Through the new online scheduling tool, patients can view available appointments for their preferred location or provider and select a time that is most convenient for them. Appointments can be scheduled for various needs, including regular check-ups, physicals or appointments when sick. St. Mary’s of Michigan is committed to providing greater, more convenient access to care for those throughout the Great Lakes Bay Region. From virtual care appointments to online scheduling, St. Mary’s is working to improve the overall quality of life in our community through additional access points and effective use of technology. Currently, online scheduling is available for Primary Care, the new Walk-in Clinic and both Emergency Department locations (downtown main campus and Towne Centre). Diagnostic and imaging services, along with specialty care, will be added in the near future. Patients can visit GetAscensionCareMidMI.com to schedule an appointment today.

Save the Date! St. Mary’s of Michigan Charity Golf Classic is Wednesday, May 23 at Apple Mountain Golf Club Enjoy a day on the course, while feeling good about supporting the Hospital’s mission to provide the latest health care technology and treatments to everyone, every day. Foursomes will enjoy 18 holes of golf with cart, a complimentary gift package, course contests, raffles, and

The Bulletin | April 2018

refreshments on the course, grilled lunch and dinner. Registration opens at 9 a.m.; outing starts at 10 a.m. This year’s proceeds will support the purchase of an angiography system to upgrade our interventional cardiac imaging services. For more information about the region’s largest charity golf outing, call the Foundation at 989-907-8875 or e-mail Tamera.Weighman@Ascension.org. CyberKnife Treatment for Tumors in Brain, Lung and Prostate

This year, St. Mary’s of Michigan is celebrating the 10th anniversary of their CyberKnife program. As one of only three centers in the state, this program continues to bring a highly sought after and specialized treatment option to our area patients. CyberKnife, a non-invasive frame-less radiosurgery device, combines real time respiratory tracking, highly maneuverable robotics, and image guided accuracy to treat tumors anywhere in the body. Cyberknife’s precision provides sub-millimeter accuracy so that treatments can be issued at a higher dose rate while strategically protecting surrounding critical structures and tissues, allowing treatment time to be condensed down to five days or less. Offering a great option for more complex tumors in the lung, brain, and especially prostate, this treatment provides a non-surgical outpatient procedure with little to no typical side effects or recovery time so patients can get back to enjoying their life faster. To refer a patient or for more information on how CyberKnife can help your patient, call 907-8115.

St. Joseph

Lung C a ncer Scr eening Progr a m

Take charge of your lung health A lung screening could save your life!

Is it covered by insurance?

If you’re a long-time smoker age 55 to 80, you’re at a higher risk for developing lung cancer. National studies have shown a low-dose CT (computed tomography) lung screening can diagnose early stage lung cancer, when it can be more effectively treated. An early diagnosis could save your life.

• Medicare covers an annual low-dose CT lung cancer screening for beneficiaries who meet the criteria.

Why is a lung cancer screening important? • Can detect cancer long before symptoms are present • Identifies the cancer’s stage to help your doctor decide the best course of treatment. • Early diagnosis can reduce the risk of death by up to 20%

• Most private insurances now cover all or a majority of the screening cost. A self-pay option is also available.

What are the benefits of going to St. Mary’s of Michigan and St. Joseph Health System? • Education about the benefits and risks of a lung cancer screening to help you make an informed decision.

• Noninvasive, painless and only takes a few minutes.

• Low-dose computed tomography with expert radiological interpretation.

Who should get a lung screening?

• Interdisciplinary lung nodule review by physicians for every positive screening result.

High-risk category 1: • Age 55-80 years (77 with Medicare)

• A thorough follow-up report and recommendation is sent to your primary care physician.

• Asymptomatic (no signs or symptoms of lung cancer)

• Immediate access to experts in the treatment of lung cancer.

• Smoked at least 30 pack years (1 pack a day for 30 years OR 2 packs a day for 15 years, etc.)

• Patient Navigator to coordinate care, answer questions and provide support.

• Currently smoking or have quit smoking within the last 15 years

Where do I go for my screening?

High-risk category 2a:

St. Mary’s of Michigan & St. Joseph Health System offer two convenient locations:

Age 50 or older with a 20+ pack year history AND one additional risk factor (family history of lung cancer, emphysema, pulmonary fibrosis or exposure to certain carcinogenic substances).

• Located inside St. Mary’s of Michigan Towne Centre 4599 Towne Centre Road, Saginaw • Located inside St. Joseph Health System 200 Hemlock, Tawas City

Call now to learn about your options and to schedule your The Bulletin | April 2018 lung cancer screening. 1-866-246-4673

Covenant Cardiology Receives IAC Accreditation Covenant Cardiology has been granted a three–year term of accreditation by the Intersocietal Accreditation Commission (IAC) in vascular testing in the areas of peripheral venous testing and extracranial cerebrovascular testing. Accreditation by the IAC indicates that Covenant Cardiology has undergone an intensive application and review process, and is found to be in compliance with the published standards thus demonstrating a commitment to quality patient care in vascular testing. Comprised of a detailed self–evaluation followed by a thorough review by a panel of medical experts, the IAC accreditation process enables both the critical operational and technical components of the applicant facility to be assessed, including representative case studies and their corresponding final reports. Early detection of life threatening heart disorders, stroke and other diseases is possible through the use of vascular testing procedures performed within hospitals, outpatient centers and physicians’ offices. Cardiovascular diseases are the leading cause of death in the United States. On average, one American dies every 39 seconds of cardiovascular disease – disorders of the heart and blood vessels. Stroke, a disorder of the blood supply to the brain, is the third leading cause of death and the leading cause of disability in the country, with nearly 800,000 new strokes occurring annually. IAC provides accreditation programs for vascular testing, echocardiography, nuclear/PET, MRI, diagnostic CT, dental CT, carotid stenting, vein treatment and management and cardiac electrophysiology. Ultrasound Services Now Offered at our Frankenmuth Campus Ultrasound services are now provided at Covenant HealthCare, 600 North Main in Frankenmuth on Tuesdays and Fridays from 7:30 a.m. to 4:30 p.m., with the possibility of adding more days in the future. Brand new, state-of-theart equipment studies include: Abdominal, pelvic, obstetrics, thyroid, carotid duplex and scrotal. The scheduling process remains the same; to schedule your patient’s appointment, call Covenant Central Scheduling at 583.6278. Mary Free Bed Rehabilitation at Covenant HealthCare On March 1, 2018, Mary Free Bed Rehabilitation Hospital and Covenant HealthCare began their 50-50 joint venture. Working together, the venture will bring advanced inpatient rehabilitation care to Saginaw and the Great Lakes Bay Region. For any questions, please contact Juli Martin, Program Director of Mary Free Bed Hospital at Covenant HealthCare, at 583.2816.

Above (Left to Right) Jake and Pollyanna

Covenant Canine Therapy Program Begins Covenant Volunteer Services Department is excited to announce the start of our Canine Therapy Program. Beginning in early February, three certified dog/handler teams are scheduled weekly to visit patients, staff and visitors. Pilot units for the program are Cooper 5 East, Harrison 3 South and Harrison 6 Main. Dog/handler teams are scheduled for a two-hour shift weekly, and round on patients who have been identified by staff as wanting a visit. In addition to visiting inpatients, teams will round in lobbies and waiting rooms, provide support in grief and traumatic environments, attend staff huddles, meetings, hospital celebrations, etc. Dogs are NOT allowed to receive treats while on duty. Handlers will carry hand sanitizer with them to remind visitors and patients to sanitize their hands after each visit. For any questions or to learn more about scheduling Canine Therapy visits, please contact Sarah Knochel, Manager of Volunteer Services at 583.6048 or sknochel@chs-mi. com. Dates to Remember: Covenant HealthCare and Mary Free Bed Neuro Symposium – Saturday, May 19 Please save the date for the annual Neuro Symposium: “Neuro Rehabilitation: Nuts and Bolts,” hosted by Covenant HealthCare and Mary Free Bed on Saturday, May 19, 2018, at the Mackinaw Lower Level Conference Room from 8 a.m.4:30 p.m. CE’s will be available for: Pain (1), Nursing, Social Work and Physical Therapy (6.5). For any questions, please contact Ashley Wisniewski, PM&R Clinical Coordinator, at 583.6289. Calendar of Events Are your patients looking for a support group? Perhaps a free screening? Remember to visit www.covenanthealthcare. com to view our calendar of events by month. Covenant HealthCare Recognized for Higher Quality in Maternity Care Blue Cross Blue Shield Michigan has recognized Covenant HealthCare with a Blue Distinction® Center+ for Maternity Care designation as part of the Blue Distinction® Specialty Care program. Blue Distinction® Centers are nationally designated hospitals that show expertise in delivering continued on page 29

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continued from page 28

improved patient safety and better health outcomes, based on objective measures that were developed with input from the medical community. Nearly four million babies are born in the U.S. annually, making childbirth the most common cause of hospitalization, and cesarean sections the most common operating room procedures, according to National Centers for Health Statistics and the Agency for Health Care Research & Quality (AHRQ). Reducing early elective delivery is an area of focus for the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP). According to Health Affairs, elective inductions result in more cesarean deliveries and a longer maternal hospitalization. The Blue Distinction® Centers+ for Maternity Care program evaluates hospitals on quality measures for vaginal and cesarean delivery. To receive a Blue Distinction® Centers+ for Maternity Care designation, a hospital must also demonstrate cost-efficiency.

diabetes Self Management Program

In the United States,

30.3 million

people are living with diabetes – 84 million are living with prediabetes.

Quality is key: Only those hospitals that first meet Blue Distinction’s® nationally-established, objective quality measures will be considered for designation as a Blue Distinction® Center+. Covenant HealthCare is proud to be recognized by Blue Cross Blue Shield of Michigan for meeting the rigorous Blue Distinction® Center+ quality and cost selection criteria for maternity care set by the Blue Distinction® Specialty Care program. “The Maternity Care designation is a tremendous accomplishment, indicating facilities that consistently deliver effective, safe and high-quality care for the many thousands of Michigan residents adding to their families, says Amy McKenzie, MD, MBA, medical director, Value Partnerships, Blue Cross Blue Shield of Michigan. “We congratulate the hospitals that have achieved this designation and thank them for their commitment to providing patients with high-value care.” Blue Cross and Blue Shield (BCBS) companies across the nation have recognized more than 1,000 hospitals as Blue Distinction® Centers+ for Maternity Care. Hospitals recognized with this designation are assessed using a combination of quality information supplied by hospitals and cost measures derived from BCBS companies’ medical claims.

We are the region’s most experienced diabetes management team. Our program is certified by the American Association of Diabetes Educators (AADE) through the Michigan Department Health and Human Service (MDHHS). We are certified to provide education for patients of all ages and diabetes diagnoses, including pregnant women. Put your trust in the region’s most experienced diabetes management team . . . your PatientCentered Medical Home partner. We also have a Diabetes Prevention Program to help prevent or delay Type 2 diabetes. To refer a patient or for more information call 989.583.5193

The Bulletin | April 2018 29

JUNE BIRTHDAYS

Khurshid Ahmad MD Mohamed Y. Aljefri MD Christopher J. Allen MD Edgar L. Allport MD Abishek Bala MD Kayla J. Balaj MD Usha K. Bulusu MD William M. Capina MD George A. Carty MD Steven G. Fettinger MD Rao V.C. Gudipati MD Val Hereza MD James R. Hines MD Tareq Q. Kamal MD Larry S. Kelly MD Zubeda S. Khan MD Asim A. Kichloo MD Tiffany K. Kim MD John A. Kremski MD Aaron M. Lawrence DO Lakshmana R. Madala MD

6/17 6/11 6/27 6/24 6/25 6/12 6/25 6/20 6/4 6/11 6/24 6/16 6/14 6/11 6/12 6/12 6/7 6/16 6/28 6/24 6/1

Binu Malhotra MD Albert S.M. Manlapit MD Rama C. Mulpuri MD Angadbir S. Parmar MD Manuel M. Perea MD Juliette M. Perzhinsky MD Nasser O. Qadri MD Zhilwan K. Rahim DO Todd G. Richardson MD Chad D. Ringley MD Kyle J. Rutledge DO Raghu Sarvepalli MD Keith E. Scharf MD Benjamin R. Schoener MD Tushar R. Shah MD Rajeev S. Sudhaker MD Joseph E. Talbot MD William G. Underhill MD Thomas J. Veverka MD Antonio J. Williams, Sr. MD Haritha Yedla DO

6/19 6/13 6/14 6/23 6/26 6/17 6/6 6/8 6/11 6/30 6/9 6/15 6/12 6/19 6/18 6/12 6/2 6/19 6/2 6/30 6/3

ATTENTION RETIRED MEMBERS!

Retired physicians meet for lunch every Wednesdayat 12 noon at IHOP, 2255 Tittabawassee Road in Saginaw. Those attending are responsible for their own lunch, and the informal gathering lasts about an hour. Join your retired colleagues whenever you like! If you have any questions, please contact Joan Cramer at the SCMS office at 790-3590 or by email at jmcramer@sbcglobal.net.

SCMS SCMS Affiliate Affiliate Member Member 2016 2018 7261 Gratiot Rd., Saginaw • (989) 781-7700 Chiropractor

Sports Injuries • Neck Pain • Headaches Mid-Back Pain • Low Back Pain • Hip Pain Knee & Ankle Pain • Muscle Soreness Shoulder, Elbow & Wrist Pain

Your “1-Stop” Pain Relief Clinic

Bree, CA

Dr. Michael Dense

Santana, CA

Katie, CA

Certified Chiropractic Sports Medicine Specialist

Desiree, CMT

The Bulletin | April 2018

Chiropractic, Massage Therapy and the latest in hi-tech therapy—the MR4 Super Pulsed Cold Laser. The only FDA cleared device to combine neuroadaptive electrical stimulation and cold laser in a single emitter. This allows us to quickly locate and automatically deliver appropriate energy dose to the affected area for quicker pain relief and faster healing.

Emily, MT

Tina, CT

Office Manager

Jennifer, CMT

Krissy, CA

Dr. Jason Barrigar

Chiropractor Certified “Rock Tape” Provider

Crystal, CMT

Nora, MT

Patti, CA

Amber, CA

ADVERTISER INDEX When you have a need for a service, please consider our dedicated advertisers first! Advanced Diagnostic Imaging, P.C. Aperion Information Tech Ben Hamann Covenant HealthCare Covenant Diabetes Self-Management Program Evergreen Physical Therapy (f/k/a Sport and Spine) Jan Hauck – Century 21 Healthway Compounding Pharmacy

31 11 2 29 11 23 22

Horizons Conference Center/Riverview Brownstones Norton + Kidd Accounting & Consulting, P.C. ProAssurance Shields Chiropractic St. Mary’s of Michigan Wolgast Corporation

7 7 15 30 27 4

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Saginaw, Michigan 48603 1.866.512.2ADI • www.adirads.com 1.866.512.2ADI • www.adirads.com Tel: (989) 799-5600

HOURS: Monday–Thursday 8am–5pm • Friday 8 am–Noon

The Bulletin | April 2018 31

PRSRT STD U.S. POSTAGE PAID Saginaw, MI 48605 PERMIT #228

350 ST. ANDREWS ROAD | SUITE 242 SAGINAW, MI 48638-5988

ADDRESS SERVICE REQUESTED

2017-2018 KEY PROVIDERS These Area Businesses Support Saginaw County Medical Society Membership Meetings. When you have a need for a service, please consider our Key Providers.

Please mark your calendar for the following meetings and events for 2018. You will receive an email meeting notice and reminder each month for SCMS events. Non-SCMS events are listed as a courtesy and you must contact the sponsor directly to register. Tuesday, May 15, 2018 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Annual Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner at 7 p.m. Program: “Update on the CMU College of Medicine,” by Dean George E. Kikano, MD. See page 5 for more details. Saturday, June 9, 2018 Saginaw Country Club - 9th Annual SCMS Foundation Golf Outing. Proceeds are used for low interest medical students loans, research grants and scholarships to medical students, residents and high school students interested in medicine. See p. 8-9 to sponsor and register to golf.

Tuesday, October 16, 2018 HealthSource Saginaw - SCMS Board meets at 5:30 p.m. Membership Meeting with Social at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Candidates’ Forum.” Spouse/ Significant Other invited. See page 5 for more details. Thursday, October 18, 2018 Saginaw Country Club – CMU College of Medicine: Meet new physicians who are joining the CMU team in the Great Lakes Bay Region. Tentatively scheduled for 5:30-7:30 p.m. Monday, December 3, 2018 Saginaw Country Club – 15th Annual SCMS Alliance Jingle Mingle.

Tuesday, September 18, 2018 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting joint with the Saginaw County Osteopathic Society with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Ethics.” See page 5 for more details.

Joan Cramer/SCMS | Office 790-3590 | Fax 790-3640 | Cell 284-8884 | jmcramer@sbcglobal.net